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Obviously, if they pick a number too low, you just force them to go on with only a few cards in play, but if they pick one too high, their life can get dangerously low. You then choose whether they lose life equal to that number or if they sacrifice cards they control until they're left with only that number of cards in play.
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Often the choices represent facets of a hero's life that are in conflict, such as whether his loved ones are more important than his ideals/cause, whether he likes Betty more than Veronica, to what lengths he will go to conceal his Secret Identity, whether he is willing to kill to save something he cares about, whether he will betray his allies to save lives, or sometimes even whether his principles are worth his life. This is guaranteed to set the Hero into Angst Mode, and gives a villain optimum gloating time. However, if the writers are just as sadistic as the villain, no third option will be possible, and Tonight, Someone Dies. However it is set up, it presents a Moral Dilemma that will inevitably cost the hero something that they hold dear unless they Take a Third Option. The hostage variant is often called " Sophie's Choice," after that novel and film. It could be a hostage situation wherein, if one victim is saved, the other(s) die or it can be a choice to save one's loved ones or save the world.
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This is a situation in which a character is presented with a choice, any outcome of which causes something bad to happen.
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